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Vidalia Pharmacy Inc
Managed Care Organization Pharmacy in Vidalia, Georgia
NPI 1114969342

Vidalia Pharmacy Inc is a Managed Care Organization Pharmacy based in Vidalia, GA and is specialized in Managed Care Organization Pharmacy. Vidalia Pharmacy Inc practices in Vidalia, GA. The NPI Number for Vidalia Pharmacy Inc is 1114969342 and holds a License No. (Georgia).

The current practice location address for Vidalia Pharmacy Inc is 209 Jackson St, Vidalia, GA and can be reached out via phone at 912-537-4134 and via fax at 912-537-4169. You can also correspond with Vidalia Pharmacy Inc through the mailing address at 209 JACKSON ST, VIDALIA, GA - 30474-4713 (mailing address contact number: 912-537-4134).

Location: 209 Jackson St, Vidalia, GA, 30474-4713
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114969342
Provider Name
Vidalia Pharmacy Inc
Credential
Provider Entity Type
Organization
Address
209 Jackson St, Vidalia, GA, 30474-4713
Phone Number
912-537-4134
Fax Number
912-537-4169
Provider Enumeration Date
06/12/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2012881 01 PK
0037749A 05 GA
institution
Provider Business Practice Location Address Details
Address
209 Jackson St
City
Vidalia
State
Georgia
Zip
30474-4713
Phone Number
912-537-4134
Fax Number
912-537-4169
person
Provider Business Mailing Address Details
Address
209 Jackson St
City
Vidalia
State
Georgia
Zip
30474-4713
Phone Number
912-537-4134
Fax Number
912-537-4169
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Institutional Pharmacy
Taxonomy
3336I0012X
License No.
005032 (Georgia)
Definition
A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 5
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
()
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
person
Provider's Taxonomy Details 6
Type
Suppliers
Classification
Pharmacy
Speciality
Managed Care Organization Pharmacy
Taxonomy
3336M0003X
License No.
()
Definition
A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.
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